Provider Demographics
NPI:1063586089
Name:CAITHAMER, TAMARA M (MD)
Entity type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:M
Last Name:CAITHAMER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:153 E 32ND ST
Mailing Address - Street 2:APT # 5 D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6000
Mailing Address - Country:US
Mailing Address - Phone:917-837-7767
Mailing Address - Fax:212-423-8912
Practice Address - Street 1:1901 1ST AVE
Practice Address - Street 2:DEPARTMENT OF MEDICINE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7404
Practice Address - Country:US
Practice Address - Phone:212-423-7596
Practice Address - Fax:212-423-8912
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY215661207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH07355Medicare UPIN